Displaying 203211-203220 of 1611142 results.
ID:
203211
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203212
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
203213
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
992459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203214
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311678
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203215
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1085728
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203216
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1191315
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
203217
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
628953
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203218
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
381056
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203219
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
206842
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203220
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
562251
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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